{% extends "layout.html" %}

{% block title %}Cr�ation terminaux fixe {% endblock %}

{% block content %}

<form method="post" class="form-horizontal" >

	<div class="row">
	<div class="span11">
	<a href="ve-terminal-xdsl" class="btn btn btn-primary"><i class="icon-plus-sign icon-white"></i> Voir la liste </a>
	  <fieldset>
		<legend align="center">Nouveaux terminal Xdsl</legend>
    
    </fieldset>
    </div>
	 <!-- Premi�re colonne -->
	<div class="span5">
    
	  <fieldset>
	
      <div class="control-group">
		<label class="control-label" for="code_article">Code Article </label>
        <div class="controls">
		<div class="input-prepend">
		   <input name="code_article" type="text" value=""/> 
		</div>
	  </div>
	  </div>
      
	  <div class="control-group">
		<label class="control-label" for="libelle">Libellé </label>
        <div class="controls">
		<div class="input-prepend">
		   <input name="libelle" type="text" value=""/> 
		</div>
	  </div>
	  </div>
      
		<div class="control-group">
		<label class="control-label" for="tarif_nu">Prix d'achat</label>
        <div class="controls">
		<div class="input-prepend">
		   <input name="prix_ha" type="text" value=""/> 
		</div>
	  </div>
	  </div>
      
	   <div class="control-group">
		<label class="control-label" for="tarif_subventionne">Prix sans engagement </label>
		 <div class="controls">
         <div class="input-prepend">
		   <input name="prix_0" type="text" value=""/> 
		</div>
        </div>
	  </div>
	  
	<div class="control-group">
			<label class="control-label" for="tarif_compteur">Prix 12 mois</label>
			<div class="controls">
			  <input name="prix_12" type="text" value=""/> 
			</div>
		  </div>
          	
	      <div class="control-group">
			<label class="control-label" for="tarif_offre_voix">Prix 24 mois</label>
		<div class="controls">
			 <input name="prix_24" type="text" value=""/> 
			</div>
		  </div>
      	     <div class="control-group">
			<label class="control-label" for="tarif_packagee"> Prix 36 mois</label>
		<div class="controls">
			<input name="prix_36" type="text" value=""/> 
			</div>
		  </div>
     
     
      	     <div class="control-group">
			<label class="control-label" for="tarif_packagee"> Prix 48 mois</label>
		<div class="controls">
			<input name="prix_48" type="text" value=""/> 
			</div>
		  </div>
	  
	  

	</fieldset>

	</div>
	</div>
	
	
		<div class="form-actions">
		<span>Action après validation</span>
		<br/>
		  <select name="action">
			<option value="ve-terminal-xdsl">Afficher la liste </option>
			<!--<option value="">Cr�er une commande pour un client</a></option>-->
			<option value="ve-terminal-xdsl-creation">Saisir une nouvelle offre</option>
		  </select>
		<br/><br/>
         
		<button type="submit" class="btn btn-primary" name="creation">Création</button>
        <button type="reset" class="btn " name="annuler">Annuler</button>
        
		</div>

	
</form>

{% endblock %}
	
